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1528318995
KEVIN BRANDT
PORTLAND, OR
NPI
1528318995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA-166067)
Enumeration Date
2012-09-13
Last Update Date
2021-09-16
Business Address
MR. KEVIN BRANDT PA-C
9135 SW BARNES RD STE 663
PORTLAND, OR 97225-6683
Phone number: 503-297-1078
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Mailing Address
MR. KEVIN BRANDT PA-C
9135 SW BARNES RD STE 663
PORTLAND, OR 97225-6683
Phone number: 971-244-0798
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